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Expalain the claim adjustment reason codes for each procedure. Procedure codes 99213, 81000, 80061, 84152, 90471/90658 Jody Ehninger is seen in Dr. Ramic's office for
Expalain the claim adjustment reason codes for each procedure.
Procedure codes
99213, 81000, 80061, 84152, 90471/90658
Jody Ehninger is seen in Dr. Ramic's office for a routine diabetic checkup: the doctor also decides to complete some laboratory tests. Jody is insured by Metropolitan Insurance and has a $100 deductible and a 70-30 coinsurance. Dr. Ramic is a participating provider. The following RA is received on February 27. Explain the claim adjustment reason codes for each procedure. Why is the payer not responsible for coinsurance for procedure code 99213 and 81000
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